1859 Atlantic Beach Dr GSRS19-0079 Generator MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
PERMIT GSRS19-0079
ISSUED: 10/10/2019
\ ,;. CITY OF ATLANTIC BEACH
EXPIRES:4/7/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts,state agencies, or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
install exterior gas line for
1859 ATLANTIC BEACH DR MECHANICAL RESIDENTIAL GAS $700.00
generator
TYPE OF REAL ESTATE j ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169505 1550 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: I CITY: STATE: ZIP:
PROGASCO, CORP. 7709 ALTON AVE JACKSONVILLE FL 32211
OWNER: ADDRESS: CITY: STATE: ZIP:
ROBERSON SIDNEY D 1859 ATLANTIC BEACH DR ATLANTIC BEACH FL 32233
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
FEE,S
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
GAS PIPING OUTLETS 455-0000 322-1000 1 $10.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455 0000-208-0700 0 $2.00
•
STATE DCA SURCHARGE 455-0000 208-0600 0 $2.00
TOTAL:$69.00
Issued Date. 10/10/2019 1 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
.10B ADD SS:4- /9 ' 11-t/Grn /i6 brach AS - Afkin5c had, R31433 PERmrr#
PR JECT VALUE S jE 144.1P ARI# REQUIRED
air andling Equipment Only Air Handling Unit & Condenser Condenser Only
NEW A R CONDITIONING & HEATING SYSTEM INSTALLATION
Air C nditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating _
Duct ystems: Total CFM REQUIRED
REPLA EMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit i
Heat:i Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
FIRE P EVENTION
Fire prinkler System Quantity (Requires 3 sets of plans)
Fire tandpipe Quantity (Requires 3 sets of plans)
Lnde ground Fire Main Value (Requires 3 sets of plans)
Fire ose Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire uppression Systems Quantity (Requires 3 sets of plans)
FIRE P ACES MISCELLANEOUS:
Prefricated Fireplace Qty Automobile Lifts
Gas iping Outlets Boilers BTU's
Elevators/Escalators
ALL 0 HER GAS PIPING Heat Exchanger
Qua tit;- of Outlets Pumps
V e ted Wall Furnaces Refrigerator Condenser BTU's
W ter Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER: 4111 -eX-iera c jAS hiltj-tri-Prr1 .
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I hay e read
application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with‘Nhether specified
not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name AL £d f 0h,e r60l► Phone Number,i /)4 9- 9 S7
U 4506 a i p Office Phone lA/-543i Fax'731- 573 7
�lechani:.al Company 9 ,
n'J,` Us ell iJ1 Re State FL Zip 3224/
Co. Address: �70q /4 Mtn ��I�U� City
License iHolder(Print): l Kt.l o n LI•iG 4 U State Certification/Registration# a7V .
.`'otarized Signature of License Holder 0
•
Before me this /0 day of OCf1Jhe,- 20 /9
it
tiesacGUI ����J'/�Stephanie ReneeMcGuire r!/Mys;onoo 12325e Signature of Notary Public
ApoorExpires 08/01/2021 .